Bethel Bible College and Seminary 4103 Cornerstone Drive Jonesboro, AR (870) Fax (870)

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1 Bethel Bible College and Seminary 4103 Cornerstone Drive Jonesboro, AR (870) Fax (870) APPLICATION FOR ADMISSION I hereby request application to Bethel Bible College and Seminary (BBCS); whereby, I may study to show myself approved to God, a workman that need not be ashamed. I submit myself to the Lordship of Jesus Christ, my Lord, and my Savior. I submit this application to Bethel Bible College and Seminary in the witness of God, and in obedience to His call upon my life. I hereby declare I will fulfill His calling upon my life, to complete all studies as directed by the Lord and representatives of BBCS, and to enter the harvest fields, a laborer for the GOSPEL MINISTRY of Jesus Christ. DATE OF APPLICATION: SOCIAL SECIRITY NUMBER: HOME PHONE NUMBER: ( ) WORK PHONE NUMBER: ( ) CELLUAR PHONE ( ) EMMERGENCY PHONE ( ) DATE OF BIRTH: MALE: FEMALE: DLN# NAME OF (Dr., Pastor, Rev. APPLICANT: Mr., Mrs., Ms.) (Last) (First) (MI) M S D SPOUSE NAME CHILDREN HOME ADDRESS: CITY: STATE: ZIP: WORK ADDRESS: CITY: STATE: ZIP: NAME OF CHURCH YOU ATTEND PASTOR S NAME: PHONE NUMBER: ( ) DESIRED DEGREE AND AREA OF STUDY SPECIALIZED DIPLOMA DIPLOMA ASSOCIATES BACHELOR MASTER DEGREE: DOCTOR DEGREE: THEOLOGY: MINISTRY: CHRISTIAN EDUCATION: CHRISTIAN COUNSELING: Page 1 of 5

2 VOCATIONAL & WORKING HISTORY: Please list your vocational and working history beginning with your most recent first, then back in years EMPLOYER S NAME: EMPLOYER S ADDRESS: City State Zip Date Began: Date Ended: PLEASE DESCRIBE POSITION & TYPE (S) OF WORK PERFORMED: EMPLOYER S NAME: EMPLOYER S ADDRESS: City State Z ip Date Began: Date Ended: PLEASE DESCRIBE POSITION & TYPE (S) OF WORK PERFORMED: EMPLOYER S NAME: EMPLOYER S ADDRESS: City State Zip 2 of 5

3 Date Began: Date Ended: PLEASE DESCRIBE POSITION & TYPE (S) OF WORK PERFORMED: EMPLOYER S NAME: EMPLOYER S ADDRESS: City State Zip Date Began: Date Ended: PLEASE DESCRIBE POSITION & TYPE (S) OF WORK PERFORMED: EDUCATION HISTORY: Please list your educational history, starting first with your high school attendance, then any vocational, college/university, and Bible College/Seminary studies completed. NAME OF SCHOOL CITY & STATE YEARS ATTENDED (,19 -,19 ) DEGREE EARNED (Diploma, GED, AA, BA, MA, PhD, ThD, PsyD ) AREA OF STUDY SEMINARY & CEU HISTORY: Please list any seminars or Continuing Education Programs you may have attended starting with the most recent first, then going back use additional paper if necessary. NAME OF SEMINAR or TRAINING PROGRAM CITY & STATE DATES ATTENDED (, 19 -, 19 ) CERTIFICATE EARNED NUMBER OF C.E.U. S EARNED 3 of 5

4 MILITARY HISTORY: BRANCH OF SERVICE: YEARS OF SERVICE: - TOTAL YEARS SERVED: COMMISSION UPON DISCHARGE: STATUS OF DISCHARGE: POSITION & DUTIES: CHURCH HISTORY: Please complete the following information listed below regarding your relationship with Jesus Christ, the local church you attend and any positions or responsibilities you may be involved with to support your church (Pastor, Praise & Worship, Teacher, Nursery, Helps, etc.), and any other ministries you may support or be involved with; i.e. missions, evangelism, food bank, etc. Please continue on additional paper if necessary. DATE YOU RECEIVED JESUS CHRIST AS YOUR LORD AND SAVIOR. HAVE YOU BEEN WATER BAPTIZED? DATE NAME OF CHURCH YOU ATTEND: ADDRESS: PASTOR S NAME: TELEPHONE: ( ) YEARS IN ATTENDANCE: POSITION or RESPONSIBILITIES : NAME OF CHURCH or MINISTRY YOU ASSIST AS A LABORER: ADDRESS: PASTOR S NAME: TELEPHONE: ( ) YEARS OF LABOR: POSITION or RESPONSIBILITIES: I hereby state that all of the information listed on this application is true and accurate as unto the Lord as my witness. I hereby grant permission to Bethel Bible College and Seminary to verify all of the information listed above. I further agree to and understand that any and all Earned Life Credit Hours, Educational Credit Hours, and Ministry Credit Hours based upon this application are granted at the discretion of Bethel Bible College and Seminary. I hereby agree and understand that I will complete all course requirements as unto the Lord Jesus Christ, and I will comply with all Seminary Policies and Financial Commitments in pursuit of academic excellence in the Word of God. I hereby further understand, all of the courses and degrees of Bethel Bible College and Seminary are of an ecclesiastical nature, and whether granted or conferred, are in the restricted area of religion with the special purpose of preparing persons to work in the area of religion - whether Educational, Ministerial, or Service Activities- and are NOT designed to be used in general academic circles. APPLICANT S SIGNATURE 4 of 5 DATE

5 BETHEL BIBLE COLLEGE AND SEMINARY REQUEST FOR PREVIOUS SCHOOL RECORDS PLEASE SEND AN OFFICIAL TRANSCRIPT OF MY RECORDS TO: BETHEL BIBLE COLLEGE AND SEMINARY REGISTRAR S OFFICE 4103 CORNERSTONE DRIVE JONESBORO, AR THIS RECORD IS REQUIRED BY BETHEL BIBLE COLLEGE AND SEMINARY TO COMPLETE MY ADMISSIONS FILE. LAST NAME FIRST MIDDLE MAIDEN/OTHER LAST NAME BIRTH DATE SOCIAL SECURITY NUMBER DATES ATTENDED OR GRADUATION DATE CURRENT STREET ADDRESS TELEPHONE NUMBER CITY STATE ZIP CODE NAME OF HIGH SCHOOL/COLLEGE SEMINARY ATTENDED OR GRADUATED FROM ADDRESS ( STREET OR POST OFFICE BOX ) CITY ZIP STUDENT SIGNATURE NOTE: FAILURE TO SUBMIT PROOF OF HIGH SCHOOL/COLLEGE/ SEMINARY TRANSCRIPTS WILL BLOCK FUTURE REGISTRATION. MAKE COPIES AS NEEDED FOR ALL INSTTUTIONS Page 5 of 5

6 This Is What We Need From You! 1. Complete the (5) page application found in your student pack. 2. Submit official transcripts from any College/University/Bible School/Or Seminary you may have attended. They must be mailed to us from the school you attended. It should be addressed to the registrar. 3. Submit a copy of any degrees/diplomas/certificates you may have earned and a copy of your ordination certificate (if you are an Ordained Minister, Clergy or Evangelist). 4. Submit a Spiritual Resume listing your most recent service unto the Lord first, then secular working back. Please include the date, month, or year of your salvation. 5. Include a check or money order (made out to Bethel Bible College & Seminary) for $137.00, a NON-REFUNDABLE student evaluation and registration fee. Checks take longer. 6. Your address. Mail it to Bethel Bible College and Seminary Evangelist Loretta Parnell-Registrar 4103 Cornerstone Drive Jonesboro, AR Please Include $137.00, make it out to Bethel Bible College

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